Results of mitral valve repair for severe degenerative mitral insufficiency

Mitral valve reconstruction is preferable for severe degenerative mitral insufficiency due to advantages over valve replacement regarding lifelong anticoagulation in patients with sinus rhythm, long-term survival and preservation of left ventricular function. The aim of the study was to analyze the results of mitral valve reconstruction for degenerative insufficiency considering etiological features. In centers with extensive experience, success rate is about 95%. Transcatheter technologies, in particular MitraClip, are becoming a good alternative to open surgery, especially for high risk patients. However, results of these surgeries are still far from ideal. Impeccable diagnosis and careful patient selection limit widespread use of this method.